ASSESS BREATHING

1) Open airway using either the head-tilt/chin-lift maneuver (medical

patient) or modified jaw thrust maneuver (trauma patient) to
achieve a neutral position.

2) If spinal injury is possible, have a second rescuer maintain manual

spinal stabilization.
3) Look, listen, and feel for signs of breathing.
4) Remove any obvious obstructions, such as loose teeth or vomitus.

TIP
Manipulation of the head to keep the airway in a neutral position is
essential for effective ventilation. A towel roll under the shoul-ders of the
infant or small child may help maintain neutral head position.